HomeMy WebLinkAbout266307 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 00352077 Page 1 of 1
` ONE CIVIC SQUARE FLUID WASTE SERVICES INC CHECK AMOUNT: $647.50
CARMEL, INDIANA 46032 PO Box 264
•. o� NOBLESVILLE IN 46061 CHECK NUMBER: 226307
CHECK DATE: 11119/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 WO-9402 647 . 50 OTHER EXPENSES
Fluid Waste Services, Inc. Invoice
P. O. Box 264
Noblesville, IN 46061 Date invoice#
317 773-7996 11/4/2013 WO-9402
Bill To
CITY OF CARMEL WWTP
760 Third Avenue SW
Carmel,IN 46032
USA
P.O. No. Terms Project
761 Net 30 Northwood Hills Su...
Description Qty Rate Amount
Monday 11-4-13
Contact:Larry Eidson 317-538-5821
Site:Northwood Hills Subdivision
Crew:EM/JM
Unit: T-21
Televised video inspection of(2) 10"sewer lines
to investigate cause of holding water as directed.
TELEVISE AS DIRECTED-HOURLY RATE 3.5 185.00 647.50
Invoice prepared by MM
TERMS NET 30
AD 5%LATE FEE AFM 45 DAYS
Thank You for Your Business.We accept Visa,MC&Discover.Please reference Inv.No.On
Remittance Total $647.50
Payments/Credits --s0:00—--
Balance Due $647.50
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352077
FLUID WASTE SERVICES,INC. Purchase Order No.
PO BOX 264 Terms
Noblesville, IN 46061 Due Date 11113/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/13/201, WO-9402 $647.50
I hereby certify that the attached invoice(s), or bill(s) is(are) true and
correct and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
VOUCHER # 136798 WARRANT # ALLOWED
352077 IN SUM OF $
FLUID WASTE SERVICES,INC.
PO BOX 264
Noblesville, IN 46061
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
i PO# INV# ACCT# AMOUNT Audit Trail Code
WO-9402 01-7360-02 $647.50
Voucher Total $647.50
Cost distribution ledger classification if
claim paid under vehicle highway fund